| NPI | 1083091433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY MURPHY Manager Member 210-382-1236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2015-05-05 |